| |
1001 E Superior St Ste 401 Duluth MN 55802-2229 | |
(218) 249-7960 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1001 E Superior St, Duluth, Minnesota |
Authorized Official Name and Position | Katherine Becker (VP COMPLIANCE) |
Authorized Official Contact | 2182495555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1001 E Superior St Ste 401 Duluth MN 55802-2229 Ph: (218) 249-7960 | 1001 E Superior St Ste 401 Duluth MN 55802-2229 Ph: (218) 249-7960 |
NPI Number | 1720032428 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 12/30/2024 |
Identifier | Type | State | Issuer |
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1720032428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Lake Superior Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4602 Grand Ave Ste 1000, Duluth, MN 55807 Phone: 218-336-3520 Fax: 218-624-6097 | |
St. Luke's Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5232 | |
Mission Creek Transitional Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Marshall St, Duluth, MN 55803 Phone: 218-340-8674 |